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1235499963
BEAULAH GILMORE
LAWRENCEVILLE, GA
NPI
1235499963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: GA RN185870)
Enumeration Date
2012-05-29
Last Update Date
2012-05-29
Business Address
-- BEAULAH GILMORE
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 770-339-2395
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Mailing Address
-- BEAULAH GILMORE
3574 ARMINTO DR
ELLENWOOD, GA 30294-6671
Phone number: 770-507-5450
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